Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Fraser › NPI 1417917584
Dental

Nowicki, Keith

Nowicki, Keith was paid $37K by Medicaid between Jan 2018 and May 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.

33Billing provider infoNOWICKI, KEITH
FRASER, MI 48026
33aNPI1417917584assigned 03/24/2006
28Total paid$37K
24GClaims1,127
24DCodes billed6
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#562 of 1,554
Median peer was paid$15K
This provider vs. median2.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018213$7K
2019256$9K
2020337$10K
2021246$8K
202275$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 61% 512 503 $22K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 300 298 $7K
D0150 Comprehensive oral evaluation - new or established patient 12% 123 120 $4K
D0220 Intraoral - periapical first radiographic image 4.2% 109 107 $2K
D0210 Intraoral - complete series of radiographic images 2.0% 15 15 $725.60
D0230 Intraoral - periapical each additional radiographic image 1.4% 68 66 $512.24

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.